Operate, actions
Actions
Downstream actions derived from the resolved identities. Proposed actions wait for an operator; suppressed actions wait for a steward decision.
Eligibility engine
1,339
Eligibility conflict resolved
1,339 proposed
Claims processor
9,112
Orphan claim re-pointed
9,112 executed
Outreach
7,319
Outreach address corrected, Outreach suppressed pending steward
2,993 proposed4,326 held
Next-best-action
3,896
Care coordination outreach, New member onboarding
3,896 proposed
Member services
4,974
Duplicate member record retired
4,974 executed
Actions
26,640 derived from the last resolution run
| Action | Type | Title | Detail | Linked to | Status | Executed | |
|---|---|---|---|---|---|---|---|
| ACT-010963 | Outreach address corrected Outreach | Mark Sandoval: 2986 Forest Ave, San Antonio → 6181 Mountain View Dr, Houston |
| Proposed | — | ||
| ACT-010964 | Outreach address corrected Outreach | Virginia Watkins: 1208 Forest Ave, Scottsdale → 1208 Forest Ave Apt 37, Scottsdale |
| Proposed | — | ||
| ACT-010965 | Outreach address corrected Outreach | Joshua Nelson: 1628 Camelback Rd, Denver → 1628 Camelback Rd # 816, Denver |
| Proposed | — | ||
| ACT-010966 | Outreach address corrected Outreach | Brenda Ramos: 8244 Union St Apt 2, Nashville → 8244 Union St, Nashville |
| Proposed | — | ||
| ACT-010967 | Outreach address corrected Outreach | Kelly Reed: 1750 Grand Ave # 324, Minneapolis → 1750 Grand Ave, Minneapolis |
| Proposed | — | ||
| ACT-010968 | Outreach address corrected Outreach | Laaura Stone: 7846 Willow Ct, Seattle → 5772 Elm St Apt 26, Orlando |
| Proposed | — | ||
| ACT-010969 | Outreach address corrected Outreach | Ana King: 5915 Park Pl # 766, Orlando → 5915 Park Pl, Orlando |
| Proposed | — | ||
| ACT-010970 | Outreach address corrected Outreach | Brenda Bennett: 6951 Sunset Blvd, San Diego → 6951 Sunset Blvd Apt 31, San Diego |
| Proposed | — | ||
| ACT-010971 | Outreach address corrected Outreach | Cynthia Hill: 3680 Indian School Rd Apt 33, Tucson → 3680 Indian School Rd, Tucson |
| Proposed | — | ||
| ACT-010972 | Outreach address corrected Outreach | Justin Wilson: 5123 Camelback Rd # 308, Plano → 5123 Camelback Rd, Plano |
| Proposed | — | ||
| ACT-010973 | Outreach address corrected Outreach | Steven Welch: 259 Broadway Apt 25, Los Angeles → 259 Broadway, Los Angeles |
| Proposed | — | ||
| ACT-010974 | Outreach address corrected Outreach | Ray Dixon: 7727 Mesa Dr, Seattle → 803 Apache Blvd # 566, Gilbert |
| Proposed | — | ||
| ACT-010975 | Outreach address corrected Outreach | Juan Alexander: 9353 Main St, Plano → 9353 Main St Apt 13, Plano |
| Proposed | — | ||
| ACT-010976 | Outreach address corrected Outreach | Vincent Griffin: 2128 River Rd # 430, Scottsdale → 2128 River Rd, Scottsdale |
| Proposed | — | ||
| ACT-010977 | Outreach address corrected Outreach | Carl Johnston: 8398 Desert Sky Blvd, Minneapolis → 8398 Desert Sky Blvd Apt 35, Minneapolis |
| Proposed | — | ||
| ACT-010978 | Outreach address corrected Outreach | Stephen Stevens: 9133 Sage Ct Apt 38, Phoenix → 9133 Sage Ct, Phoenix |
| Proposed | — | ||
| ACT-010979 | Outreach address corrected Outreach | Amber Baker: 8203 Bayshore Dr, Austin → 8203 Bayshore Dr Apt 23, Austin |
| Proposed | — | ||
| ACT-010980 | Outreach address corrected Outreach | Yuki Wright: 9017 Pine Dr, Jacksonville → 9017 Pine Dr # 800, Jacksonville |
| Proposed | — | ||
| ACT-010981 | Outreach address corrected Outreach | Natalie James: 5951 Desert Sky Blvd, Scottsdale → 5951 Desert Sky Blvd Apt 18, Scottsdale |
| Proposed | — | ||
| ACT-010982 | Outreach address corrected Outreach | Logan Mills: 3968 Grand Ave # 848, Sacramento → 3968 Grand Ave, Sacramento |
| Proposed | — | ||
| ACT-010983 | Outreach address corrected Outreach | Jean Reed: 5322 Sage Ct, Fresno → 5322 Sage Ct Apt 38, Fresno |
| Proposed | — | ||
| ACT-010984 | Outreach address corrected Outreach | Christian Ruiz: 1131 Union St Apt 3, Columbus → 1131 Union St Apt 26, Columbus |
| Proposed | — | ||
| ACT-010985 | Outreach address corrected Outreach | Harold Rivera: 2799 Cedar Ln # 734, Orlando → 2011 Park Pl, Jacksonville |
| Proposed | — | ||
| ACT-010986 | Outreach address corrected Outreach | Zachary Adams: 5796 Broadway, Orlando → 5796 Broadway Apt 21, Orlando |
| Proposed | — | ||
| ACT-010987 | Outreach address corrected Outreach | Couper Andrew: 8838 Jefferson Ave Apt 22, Nashville → 8838 Jefferson Ave, Nashville |
| Proposed | — | ||
| ACT-010988 | Outreach address corrected Outreach | Brian Vazquez: 6606 Oak St, Austin → 6606 Oak St Apt 23, Austin |
| Proposed | — | ||
| ACT-010989 | Outreach address corrected Outreach | Lawrence Carpenter: 132 Valley View Dr, Columbus → 132 Valley View Dr # 304, Columbus |
| Proposed | — | ||
| ACT-010990 | Outreach address corrected Outreach | Sophia Jenkins: 1597 Bayshore Dr, Miami → 1597 Bayshore Dr # 231, Miami |
| Proposed | — | ||
| ACT-010991 | Outreach address corrected Outreach | George Patterson: 5376 Central Ave, San Antonio → 5376 Central Ave # 493, San Antonio |
| Proposed | — | ||
| ACT-010992 | Outreach address corrected Outreach | Karen Diaz: 9348 Canyon Rd, Scottsdale → 9655 Grand Ave, Eden Prairie |
| Proposed | — | ||
| ACT-010993 | Outreach address corrected Outreach | Jose Yang: 6764 Ridge Rd Apt 11, Tampa → 6764 Ridge Rd Apt 25, Tampa |
| Proposed | — | ||
| ACT-010994 | Outreach address corrected Outreach | Julia Fields: 2233 Apache Blvd, Houston → 7380 Bayshore Dr, Phoenix |
| Proposed | — | ||
| ACT-010995 | Outreach address corrected Outreach | Theresa Mitchell: 8445 Harbor Blvd, Austin → 8980 Hillcrest Rd, Minneapolis |
| Proposed | — | ||
| ACT-010996 | Outreach address corrected Outreach | Cynthia Mason: 8767 Central Ave, Fresno → 8767 Central Ave Apt 38, Fresno |
| Proposed | — | ||
| ACT-010997 | Outreach address corrected Outreach | Ana Burns: 226 Ocean Ave # 137, Orlando → 226 Ocean Ave, Orlando |
| Proposed | — | ||
| ACT-010998 | Outreach address corrected Outreach | Bobby Chapman: 5157 Lake View Rd, Dallas → 2613 Cedar Ln, Austin |
| Proposed | — | ||
| ACT-010999 | Outreach address corrected Outreach | Hiroshi Harrison: 8739 Ocean Ave, Las Vegas → 1277 Spring St, Fresno |
| Proposed | — | ||
| ACT-011000 | Outreach address corrected Outreach | Gary Price: 8120 Bayshore Dr # 842, Chandler → 8120 Bayshore Dr, Chandler |
| Proposed | — | ||
| ACT-011001 | Outreach address corrected Outreach | Albert Payne: 1534 Highland Ave, Charlotte → 1534 Highland Ave Apt 3, Charlotte |
| Proposed | — | ||
| ACT-011002 | Outreach address corrected Outreach | Eugene Carlson: 7646 Ridge Rd # 888, Phoenix → 7646 Ridge Rd, Phoenix |
| Proposed | — | ||
| ACT-011003 | Outreach address corrected Outreach | Ruth Ortiz: 8190 Grand Ave # 315, Los Angeles → 8190 Grand Ave, Los Angeles |
| Proposed | — | ||
| ACT-011004 | Outreach address corrected Outreach | Diane Lucas: 6585 Maple Ave, Dallas → 3522 Jefferson Ave, Tampa |
| Proposed | — | ||
| ACT-011005 | Outreach address corrected Outreach | Kathryn Gonzalez: 4472 Main St Apt 35, Minneapolis → 4472 Main St, Minneapolis |
| Proposed | — | ||
| ACT-011006 | Outreach address corrected Outreach | Ralph Gibson: 2194 Baseline Rd # 791, Miami → 2194 Baseline Rd, Miami |
| Proposed | — | ||
| ACT-011007 | Outreach address corrected Outreach | Mary Wlilis: 7077 Sunset Blvd, Houston → 1470 Apache Blvd, Austin |
| Proposed | — | ||
| ACT-011008 | Outreach address corrected Outreach | Scott Ward: 468 Pine Dr, Jacksonville → 468 Pine Dr # 226, Jacksonville |
| Proposed | — | ||
| ACT-011009 | Outreach address corrected Outreach | Elizabeth Hamilton: 4500 Maple Ave # 816, Seattle → 4500 Maple Ave, Seattle |
| Proposed | — | ||
| ACT-011010 | Outreach address corrected Outreach | Paul Marshall: 8380 Ocean Ave # 276, Tampa → 8380 Ocean Ave, Tampa |
| Proposed | — | ||
| ACT-011011 | Outreach address corrected Outreach | Bobby Gray: 481 Broadway, Nashville → 5084 Market St, Tampa |
| Proposed | — | ||
| ACT-011012 | Outreach address corrected Outreach | Joshua Rios: 8168 Cedar Ln, Las Vegas → 6349 Indian School Rd Apt 35, Charlotte |
| Proposed | — |
Derivation rules
Evaluated after every gold rebuild
- 1Eligibility conflict resolvedThe records behind one identity disagree on plan code. Survivorship picks the enrollment plan; the eligibility engine is told which one is canonical.
- 2Orphan claim re-pointedA claim arrived without a member ID. Resolution attached it to an identity that has one, so the claims processor can now pay it against the right member.
- 3Outreach address correctedThe most recent address on the golden record differs from what enrollment holds. Outreach gets the current address before the next mailing.
- 4Outreach suppressed pending stewardThe record is sitting in an open steward case. Nothing sensitive is sent until a person decides, so we never message the wrong member.
- 5Care coordination outreachThree or more claims and no provider record. Next-best-action proposes assigning a PCP and scheduling a care-coordination call.
- 6New member onboardingA single, fresh enrollment with no other activity yet. Next-best-action proposes the welcome kit and a digital ID card.
- 7Duplicate member record retiredTwo or more enrollment records collapsed into one identity. Member services retires the extra cards against the surviving member ID.